Hello! This is likhita. M This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians singned informed consent. Here we discuss our individual patients problems with an aim to solve the patient’s clinical problem with collective current best evident based input. This E blog also reflects my patient cantered online learning portfolio and your valuable inputs on the comment box is well. July 30 2023 This is the case of a 60 year old male , daily wage worker by occupation , resident of Rajanna gudam who presented to the hospital with Chief complaints of - Tingling sensation in lower limbs since 1 yr - pain in the abdomen since 2 months - increased frquency of urination since 1 month History of presenting illness - The patient was apparently asymptomatic 5 years ago when he had a fall from the lorry and sustained an injury to his back. He then notice that there was a gradual loss of strength in his right leg and had difficulty